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116 Calvary Church WayDavie County, NC r Tax Parcel Report b 6'!, Y Wednesday, October 5, 2016 WARNIN is '1711, 1, INU"Y A NUKVEY Parcel Information Parcel Number: J60000002501 Township: Mocksville NCPIN Number: 5757071274 Municipality: Account Number: 82517514 Census Tract: 37059-807 Listed Owner 1: SHERRILL DOROTHY HOLMAN Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 116 CALVERY CHURCH WAY Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: NC Zoning Overlay: 27028-0723 Voluntary Ag. District: 0.512 AC OFF DALTON RD Fire Response District: 0.52 Elementary School Zone: 8/2001 Middle School Zone: 003810520 Soil Types: Flood Zone: Watershed Overlay: 50370.00 Outbuilding 8r Extra Freatures Value: 9020.00 Total Market Value: 63890.00 No FORK CORNATZER WILLIAM ELLIS PaD,CeI32 DAVIE COUNTY 4500.00 63890.00 �pU N,t'ti Davie County, NC All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantabllity or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION N, O: 0 5 3 6, DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION PermitJee^e' ~' �{ / / j P.O. Box 848 Name: 1. i"�} &_1 A1_LZVZ4 Z') Mocksville, NC 27028 Subdivision Name: ,� .+ Directions to property: '�::y/�; • r�`f% Phone #: 704-634-8760 Section: Lot: f AUTHORIZATION FOR ra LID,- WASTEWATER Tax Office PIN:# r f rl_ �, r! - SYSTEM CONSTRUCTION 1 (`� • Road Name: /-�'1FI i_ . of Zip: AQ a+'? **NOTE** This Authorization for Waste ter System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED Y w•,. '.c,.. �. iY,f �; �,;;,..�,; « DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS Permit'ls Directions to property: AJ i (r) N110 01-�Iklr,4 t (/\Ja.L t ai�e'YryQ PROPERTY INFORMATION Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# �� F�" �_ £� r t Road Name: tl .:1._- s ;�; l Zip. T **NOTE** This Improvement Permit bOIfS NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance wiih Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE ZV� # BEDROOMS - # BATHS / # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No 11,4,11 NEW SITE REPAIR SITE t/� LOT SIZE TYPE WATER SUPPLY ! _LDESIGN WASTEWATER FLOW (GPD) SYSTEM SPECIFICATIONS: TANK SIZES u[., GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -,Z � 'LINEARTT. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT A, /— X, xoy,/ V J "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. O�!a b OPERATION PERMIT BY: _tea DATE:zbsk2 "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS ' 1� .v ;1 Davie County Health Department D,v Environmental Health Section D d S P. O. Box 665 C Mocksville, NC 27028 1JAY 3 1 1996 J I /l,.7 ,// -VL 1. Application/Permit Requested By `(a a So}� Mailing Address L l ,mfr[ �1 C 7 o X `d Home Phone q-31 mat' ' '� Business Phone 2. Name on Permit if Different than Above 3. Application for: General Evaluation UMeptic Tank Installation Permit 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People of No. of Bedrooms 3 No. of Bathrooms Dwelling Dimensions 2 Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: Public ❑ Private 8. Property Dimensions 4TJ3Q Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing E&4ashing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ Yes �o ❑ Community `NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: 4. � V4J.e s RMATION REQUIREb: `max Office PIN: 5757- o7- 03(03 PROPERTY AbbRESS, as follows: Road Name: "Dediu, City: me)cy-ku"Ite- SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. 91 - DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's uit bility for a ground absorp 'o sewage treatment and disposal system. DATE ZY SIGNATURE DCHD (1/93) r = DAME COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation % NAME !` DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY �%% LOCATION OF SITEra Water Supply: On -Site Well _ Community Public.—.,----- Evaluation ublic,.,-.---Evaluation By: Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position Slope Z �- HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group- C - Consistence 6 Structure Mineralogy - HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralog SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: J LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-901 EVALUATED BY: / 471 �� OTHER(S) PRESENT: LEGEND Landscape Position R -Ridge S. -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty :lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V! --.-y friable FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm Wet NS -Non sticky SS -Slightly sticky S -Sticky VS -Ver -j Sticky NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic Structure 3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS (provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 ������ /����\���������������������■ ■���� ■�����������������������■�■ ■������■ ���//�� �/ �/�������������������������������■��������������■�������������������■ ��������N����������������■�������������������■ ■������������������������■����■���■ ■���������������������n��o�������■ �����s�������_������■�����■������������������■��■ ■�H������������� ���\����������o������������e�v���������■■���■�������������������/■ ������������� ■��������� ■ ��������������������� ■■ �����e����■���■���������■ ������■ .......... .....■....0. ........ ............C..=........................._....... �......._ ■.....■ . ........C...■.................. .......................... . .....■. ■ .......�._ ......■....... ........... ...�.......................... �������������n���� nn�� ��� �� �����i�o���������_������������������������������ ii=i��������n� �n ���=n����=����i��E= ��� ������� ■�■������������■■�������■����������� �ii�i�=i =iii�ii���■ ���� �� ■��_� �����_������������������■�■������■�������■ ----.s ... ■::: . 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'='S.� . .. .. .. .. �....... ..... ....:............... '�C'=ECC�' . .C� .':=""C�"""�i �:�;:C....0....... ................. . ... ... . .S= ' .: :::::�..:.....::�':'.':::::�:::::::':::::: ' .. ... .. .0 C� . .EC. .�CC�. �i.. ._.. ■�C�i����� ���i� � � �� ��� ��u��ii��n� ����������i ���������������C��������� :�.........0 ... . = C...=�C.......:::::.::::::::::�.'::'.':::�'::::::::::::::� . ........ . . .�C.CSC....... . ..........................=....5............... ::::::: C'= .: ..................:.. . ...........�............................. w��n�����iu�Nu������nu���������������������■ Davie County Health Department r and Home Heafth .Agency Environmenta[Heafth Section P.O. BOX 848 / 210 HOsPtrAL STREET COURIER #09-4-06 MOCKsvtuE, N.C. 27028 PHONE: (704) 694-8760 June 25, 1998 Dorothy L. Hollman 857 Salisbury St: Mocksville, NC 27028 Re: Site Evaluation Dalton Road Tax PIN: #5757-07-0383 Dear Ms. Hollman: As requested, a representative from this office visited the aforementioned site on June 21, 1998. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on—site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure(s)